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The OPTIONS Act of 2023: Mental Health Coverage Changes

Original title: Opening Plans to Individuals and Offering New Services for Mental Health Act of 2023

Record date · December 17, 2024

Introduced
Committee
Floor Vote
Passed
Law

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Public stanceCommunity reactions are separate from the official record and reporting.

What This Bill Would Do

This bill allows high- health plans to cover up to $500 of mental health services before a patient has to pay their annual deductible. This change aims to remove financial barriers to initial mental health care for people with these specific insurance plans.

Why it matters

If passed, this law would allow individuals with high- health plans to access mental health services without first paying out-of-pocket costs up to $500, potentially lowering the immediate financial burden for those seeking mental health support starting in 2024.

Background
  • High-deductible health plans are insurance policies that typically require the policyholder to pay a significant amount of medical expenses out-of-pocket before the insurance coverage begins. context

Who It Would Affect

Groups the bill's text would affect if enacted, as described in the record. Being affected is not a position for or against it.

Directly affected

High-deductible health plan enrollees

These individuals may receive coverage for the first $500 of mental health services without meeting their deductible.

Directly affected

Health insurance providers

Providers must adjust their plan structures to accommodate the new safe harbor for mental health services.

Key Facts

You don't have to trust us. Each fact below is taken straight from the official document - click any one to see the exact passage, highlighted in the original.

Frequently Asked Questions

Does this bill apply to all health insurance plans?
No, it specifically applies to 's' as defined in the Internal Revenue Code.
How much of my mental health care will be covered before I hit my deductible?
The bill allows for up to $500 of mental health benefits to be covered without a .
When would this change take effect?
The provisions apply to plan years beginning after December 31, 2023.

What else do you want to know?

News Coverage

No news coverage found yet. Articles are indexed twice daily.

Where This Stands

Currently filed. The next step in the legislative lifecycle is Committee.

Version history

Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.

View official text →

Full breakdown

Who this bill affects and the strongest case for and against it, written only from the bill’s own text.

Discoveries

1 pattern noticed across the record

Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.

policy shift90% confidence

Mental Health Parity Adjustment

The bill represents a targeted effort to treat mental health services differently than other medical services within high-deductible health plans by exempting them from standard deductible requirements.

Connected Entities

Mr. Fitzpatrick, House Ways and Means Committee, SECTION 1 and 4 more
PersonMr. Fitzpatrick“Bill sponsor”Map →
OrganizationHouse Ways and Means Committee“Committee reviewing the bill”Map →
bill numberSECTION 1“Section of the bill”Map →
bill numberInternal Revenue Code of 1986“The legal framework being amended”Map →
dateDecember 31, 2023“Date the changes take effect”Map →
OrganizationHealth Savings Accounts“The type of account affected”Map →
PersonMr. Trone“Bill sponsor”Map →

Sources

Open source document

www.congress.gov

Analysis Score

0–100
  • Significance65
    How much this matters to a regular citizen
  • Controversy10
    Intensity of disagreement among stakeholders
  • Entertainment5
    Compellingness for a non-policy-wonk reader
  • Buzz20
    Current news / social attention level

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